Designing Infant Mattresses Tailored to Developmental Sleep Characteristics: A Comprehensive Review

Yasunori Oka1, Akiko Tange2,3, Yuki Maeda2

  • 1Center for Sleep Medicine, Ehime University Hospital, Toon 791-0295, Japan.

Clocks & Sleep
|December 24, 2025
PubMed

Insights

This review provides evidence-based recommendations for infant mattress design, focusing on safety to prevent Sudden Unexpected Infant Death (SUID) and comfort for infant development. Key factors include firmness, breathability, and thermal properties for safe infant sleep.

Area of Science:

  • Pediatric Sleep Science
  • Infant Safety Engineering

Background:

  • Infant sleep environment significantly impacts safety and development.
  • Immature infant physiology necessitates specialized sleep surfaces.
  • Current infant mattress designs require optimization for safety and comfort.

Purpose of the Study:

  • To review existing research on infant mattress design.
  • To propose evidence-based recommendations for safe and comfortable infant sleep.
  • To inform future infant mattress development and standards.

Main Methods:

  • Comprehensive literature review of international studies.
  • Analysis of mattress properties: firmness, pressure distribution, breathability, thermal properties.
  • Focus on safety concerning Sudden Unexpected Infant Death (SUID) and comfort related to infant development and thermoregulation.

Main Results:

  • Mattress firmness and pressure distribution are critical for safe infant sleep.
  • Breathability and thermal properties influence infant thermoregulation and comfort.
  • Infant's limited mobility and immature thermoregulation underscore the importance of mattress characteristics.

Conclusions:

  • Optimized infant mattress design is crucial for preventing SUID and promoting healthy development.
  • Evidence-based design criteria should guide future infant mattress manufacturing.
  • Further research and standardized evaluation methods are needed for infant sleep products.

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